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The first successful use of erector spinae plane block as an element of multimodal analgesia in pediatrics in Belarus: a case report

https://doi.org/10.65249/1027-7218-2025-12-62-66

Abstract

The erector spinae plane block (ESPB) is a modern regional analgesia method that is promising for use in pediatric practice. A case of successful use of ESPB in a 5-year-old child with pleural empyema during thoracoscopic sanitation is presented. The block was performed once before the operation without the use of systemic opioids, which ensured adequate analgesia in the intra- and postoperative periods. The potential of ESPB as an effective and safe technique of multimodal analgesia in thoracic interventions in children has demonstrated by obtained results. The clinical case description is presented in the Republic of Belarus for the first time.

About the Authors

A. Tsylko
Республиканский научно-практический центр детской хирургии
Беларусь


P. Prokhorova
Республиканский научно-практический центр детской хирургии
Беларусь


T. Barysienka
Республиканский научно-практический центр детской хирургии
Беларусь


K.ki Drozdovski
Республиканский научно-практический центр детской хирургии
Беларусь


References

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2. Zhihao Yuan, Jinzhu Liu, Kun Jiao, et al. Ultrasound-guided erector spinae plane block improve opioid-sparing perioperative analgesia in pediatric patients undergoing thoracoscopic lung lesion resection. Transl Pediatr. 2022; 11(5): 706–714.

3. Lucente M., Ragonesi G., Sanguigni M., et al. Erector spinae plane block in children. Korean J Anesthesiol. 2022; 75(6): 473–486.

4. Mizubuti G.B., Camire D., Ho A.M.-H., et al. Erector spinae plane block when neuraxial analgesia is contraindicated by clotting abnormalities. Ann Thorac Surg. 2021; 112(4). doi: 10.1016/j.athoracsur.2021.01.043.

5. Aksu C., Gurkan Y. Defining the indications and levels of erector spinae plane block in pediatric patients. Cureus. 2019; 11(8). Available at: https://pubmed.ncbi.nlm.nih.gov/31602352/ (accessеd: 16.10.2025).

6. Saxena V., Shah H., Ray S., et al. Continuous erector spinae plane block in paediatric VATS : a case series. Turk J Anaesthesiol Reanim. 2023; 51(1): 69–71. doi: 10.5152/TJAR.2023.21591.

7. Lombardi R.A., Pereira E.M., Amaral S., et al. Erector spinae plane block versus intravenous opioid for analgesia in pediatric cardiac surgery. Paediatr Anaesth. 2025; 35 (1): 17–24.


Review

For citations:


Tsylko A., Prokhorova P., Barysienka T., Drozdovski K. The first successful use of erector spinae plane block as an element of multimodal analgesia in pediatrics in Belarus: a case report. Healthcare. 2025;(12):62-66. (In Russ.) https://doi.org/10.65249/1027-7218-2025-12-62-66

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ISSN 1027-7218 (Print)